New York
In the event of an on-the-job injury or illness occurring in the State of New York, please follow the below steps in order.
- Step 1: Report the injury or illness to your supervisor immediately. Seek medical treatment from a list of providers approved by the Workers’ Compensation Board in New York State. You can search for an approved provider here
Healthcare Provider Search.
- Step 2: Document your injury as soon as possible by choosing one of the following options:
- If you work for an agency that reports an injury, illness or near miss using the Workday system, logon to Workday. Select
Report a Safety Incident within the Workday Safety application.
- If your agency has not established an injury, illness or near miss reporting process or you are unaware of the process, please click on this hyperlink. Select
Submit a New Risk Management Request, fill-in the fields on the form and select Out-of-State Safety Incident Report under the
Type of Request drop down menu, then submit the form.
- Step 3: Please complete the State of New York online
C3 Form immediately and send a copy to DAS Risk Management.
- Step 4: File a claim with the appropriate insurance carrier.
https://www.zurichna.com/claims Your claim will be managed by Zurich, our out of state insurance provider. You should expect a call from Zurich after the claim is filed. Please work with Zurich and provide them with any needed information during the life of your claim.
For more information see
https://www.wcb.ny.gov/content/main/Workers/lp_workers-comp.jsp
For any questions or concerns please reach out to DAS Risk Management